Texas

TX HHS Form 8578. Intellectual Disability or Related Conditions Assessment

TX HHS Form 8578. Intellectual Disability or Related Conditions Assessment

Form 8578, issued in November 2025, is the Intellectual Disability or Related Condition (ID/RC) Assessment used in Texas. This form is a key component in determining eligibility for services under programs such as ICF/ID, DBMD, and CLASS. It is used by medical professionals, service providers, and case managers to ensure that individuals with intellectual disabilities or related conditions receive appropriate care and support.

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TX HHS Form 8577. Questionnaire for LTSS Waiver Program Interest Lists

TX HHS Form 8577. Questionnaire for LTSS Waiver Program Interest Lists

Form 8577 is a questionnaire designed to gather information about individuals interested in Long-Term Services and Supports (LTSS) waiver programs. It helps assess eligibility, needs, and placement on interest lists for services that support people with disabilities or chronic conditions in community settings rather than institutions.

TX HHS Form 8574. Administration of Medications by Unlicensed Personnel

TX HHS Form 8574. Administration of Medications by Unlicensed Personnel

The TX HHS Form 8574, "Administration of Medications by Unlicensed Personnel," is a crucial tool for ensuring the safe administration of medications in various settings. This form helps solve the problem of identifying unlicensed personnel who are authorized to administer medications under specific conditions. The form is typically used in situations where foster care or companion care (FC/CC) providers need to demonstrate their competency and exemption from Board of Nursing (BON) requirements.

TX HHS Form 8571. Request to Change Interest List Information for Home and Community-based Services (HCS) or Texas Home Living (TxHmL)

TX HHS Form 8571. Request to Change Interest List Information for Home and Community-based Services (HCS) or Texas Home Living (TxHmL)

Form 8571 is an official Texas Health and Human Services Commission (HHSC) document used by Local Intellectual and Developmental Disability Authorities (LIDDAs) to request corrections or changes to a person’s interest list information for Home and Community-based Services (HCS) or Texas Home Living (TxHmL) waiver programs. This form plays a critical role in ensuring that interest list dates accurately reflect a person’s eligibility history and conversations about services.

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TX HHS Form 8516. Electronic Visit Verification Responsibilities and Additional Information

TX HHS Form 8516. Electronic Visit Verification Responsibilities and Additional Information

The TX HHS Form 8516, Electronic Visit Verification Responsibilities and Additional Information, is a crucial document for individuals receiving personal care Medicaid services through the Home and Community-based Services (HCS) or Texas Home Living (TxHmL) Program. This form outlines the responsibilities of service providers and consumer-directed services (CDS) employees in using electronic visit verification (EVV) to clock in and out of services.